Specifications Manual for Joint Commission National Quality Measures (v2020A)
Posted: August 1, 2019
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)

Home » Acute Stroke Ready Outpatient (ASR-OP)

Release Notes:
Measure Information Form
Version 2020A

Acute Stroke Ready Outpatient (ASR-OP)

Set Measures

Set Measure ID Measure Short Name
ASR-OP-1 Thrombolytic Therapy: Drip and Ship
ASR-OP-2 Door to Transfer to Another Hospital

General Data Elements

Element Name Collected For
Birthdate All Records,
Hispanic Ethnicity All Records,
ICD-10-CM Principal Diagnosis Code All Records, Optional for HBIPS-2, HBIPS-3
Measure Category Assignment All Records, Calculation, Transmission, Hospital Clinical Data File, Used in calculation of the Joint Commission's aggregate data and in the transmission of the Hospital Clinical Data file.
Payment Source All Records, Optional for HBIPS-2 and HBIPS-3
Race All Records,
Sex All Records,

Algorithm Output Data Elements

Element Name Collected For
Measure Category Assignment All Records, Calculation, Transmission, Hospital Clinical Data File

Measure Set Specific Data Elements

Element Name Collected For
Arrival Time ASR-OP-1, ASR-OP-2
Comfort Measures Only ASR-OP-2
Date Last Known Well ASR-OP-1
Discharge Code ASR-OP-2
E/M Code ASR-OP-1, ASR-OP-2
ED Departure Date ASR-OP-2
ED Departure Time ASR-OP-2
IV Alteplase Initiation ASR-OP-1, ASR-OP-2
IV Alteplase Initiation Date ASR-OP-1
IV Alteplase Initiation Time ASR-OP-1
Last Known Well ASR-OP-1
Outpatient Encounter Date ASR-OP-1, ASR-OP-2
Reason for Extending the Initiation of IV Alteplase ASR-OP-1
Reason for Not Initiating IV Alteplase ASR-OP-1
Time Last Known Well ASR-OP-1

ASR-OP Initial Patient Population

The population of the ASR-OP measure set is identified using 4 data elements:

  • EM Code
  • ICD-10-CM Principal Diagnosis Code
  • Outpatient Encounter Date
  • Birthdate

Patients admitted to the hospital for outpatient acute care with an EM Code as defined in Appendix A, Table 1.0, and an ICD-10-CM Principal Diagnosis Code for ischemic or hemorrhagic stroke as defined in Appendix A, Table 8.1 or Table 8.2, and a Patient Age (Outpatient Encounter Date minus Birthdate) greater than or equal to 18 years are included in the ASR-OP Initial Patient Population.

Measure Information Form ASR-OP
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Specifications Manual for Joint Commission National Quality Measures (v2020A)
Discharges 01-01-20 (1Q20) through 6-30-20 (2Q20)


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